Klykylo, William

Klykylo, William is an individual health care provider with primary practice located at 627 Edwin C Moses Blvd East Medical Plaza, Dayton OH 45408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Klykylo, William can be contacted via phone (937) 223-8840.

Contact Information

Primary practice address
627 Edwin C Moses Blvd East Medical Plaza Dayton OH 45408
Phone: (937) 223-8840
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35043392 Ohio
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35043392 Ohio

Profile Details

NPI number 1598722571
LBN Legal business name Klykylo, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 2nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598722571 NPPES
Ohio MEDICAID 0471994

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